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<br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SVSTEM (NPDES) Form AppfOVed. ,'
<br />-DISCHARGE MONITORING REPORT (DMR~ OMB No. 2040-0004
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<br />Approval expires 0531-98
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<br />NAME/LITLE PRINCIPAL EXECUTNE OFFICER I CERTIFY UNDER PENALTY OF LAW THAT I HAVE PERSONALLY E%AMINEO AND
<br />AM FAMILIAq WITH THE INFORMATION SUBMITTED HEREIN; AND BASED ON MY TELEPHONE DATE
<br />Richard Mllls INQUIRY OF THOSE INONIOUALS IMMEDIATELY RESPONSIBLE FOR OBTAINING ///]]],,,,,,
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<br />Environmental ,Manager THE INFORMATION, I BELIEVE THE SUBMITTED INFORMATION IS TRUE,
<br />ACCURATE AND COMPLETE I AM AWARE THAT THERE ARE SIGNIFICANT
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<br />PENALTIES FOR SUBMITTING FALSE INFORMATION. INCLUDIN /~
<br /> POSSIBILITY OF FINE AND IMPRISONMENT. SEE I6 U.S.C. 4 I W1 AND 33 U S.C.
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<br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) "
<br />ALPiiR!:dT~ LI"lITS FUN T55 E SETTLEAAL~ jr%Llf'5 (LOC rJ') AP'r7.Y' O.`:LY F G= Y~YR~ 2u-kA 1...1.i+ ';,`~T IS
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<br />EPA Form 9320.1 (08-95) Previous editions may not be used. (REPLACES EPA FORM T-40 WHICH MAY NOT BE USED.) U U 0 (i `> / (. ~ !1 I, ;; c: - 2 ~• %~ 1 PAGE I OF
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